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October 21, 1944


Author Affiliations

South Bend, Ind.

JAMA. 1944;126(8):514-515. doi:10.1001/jama.1944.02850430048023

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To the Editor:—  In The Journal, April 8, page 1030, in his article on "Pain After Amputation and Its Treatment," Dr. J. C. White writes "In this discussion of intractable pain which may follow amputation I should like to begin by pointing out how little is known about it, and what an opportunity is awaiting surgeons in the military forces today for gaining a better insight into its mechanism, as well as for devising effective methods of treatment." The following case seems pertinent:An aviator aged 30 crashed five years previously, the injury requiring supracondylar amputation of the right thigh; a few weeks later the stump became painful and was injected with saline solution. Then the sciatic nerve was alcoholized and one year later 4 inches of it was removed, but without relief, and he took to narcotics. On Jan. 27, 1944 he was suddenly seized with an excruciatingly severe

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